| Item Number | Description | Schedule Fee |
|---|---|---|
| 30756 | Antireflux operation by fundoplasty, with or without cardiopexy, by any approach, with or without closure of the diaphragmatic hiatus, other than a service to which item 30601 applies (Anaes.) (Assist.) |
$1,016.40 |
| Total: | $1,016.40 | |